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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07-19-17 <br />Name Capt. Voros Department SBPD <br />Purchasing <br />H Agreement <br />H Contract U Proposal a Addendum <br />❑ Professional Services <br />❑ <br />Resolution <br />❑ Bid Opening <br />® <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ CIO & PCA No. PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control <br />I-1 Other: <br />Company or Vendor Name Waymire <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBEIWBE Contractor ❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name 2017 South Bend Police Vehicle Equipment <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of II <br />Vehicle lease <br />404.0401.415.37.111.12 <br />$ 34,642.75 <br />Award bid for items 1 and 24 to Waymire as lowest bidder for said <br />items. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />® ❑ Capt. Voros <br />❑ ❑ <br />❑ ❑ <br />